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一名患有慢性肺病的年轻成人接受肺减容手术的病例。

A Case of Lung Volume Reduction Surgery in a Young Adult With Chronic Lung Disease.

作者信息

Horinouchi Hirohisa, Maitani Fumio, Miyauchi Jun

机构信息

Department of General Thoracic Surgery Saitama City Hospital Saitama Japan.

Department of Pathology Saitama City Hospital Saitama Japan.

出版信息

Respirol Case Rep. 2025 Aug 13;13(8):e70303. doi: 10.1002/rcr2.70303. eCollection 2025 Aug.

Abstract

Chronic lung disease, characterised by impaired development and/or fibrotic changes in the lungs of preterm neonates, results in lifelong consequences that affect respiratory well-being. An 18-year-old male with chronic lung disease presented with shortness of breath upon exertion. Computed tomography revealed bilateral emphysema and a large bulla in the left lower lobe. Additionally, severe obstructive ventilatory impairment was observed and respiratory rehabilitation was ineffective in improving lung function. We performed lung volume reduction surgery on the left lower lobe, resulting in improved ventilatory function and exercise capability. This case shows that emphysematous changes in patients with chronic lung disease can be successfully treated with surgery.

摘要

慢性肺病以早产儿肺部发育受损和/或纤维化改变为特征,会导致影响呼吸健康的终身后果。一名患有慢性肺病的18岁男性在运动时出现呼吸急促。计算机断层扫描显示双侧肺气肿以及左肺下叶有一个大肺大泡。此外,观察到严重的阻塞性通气功能障碍,呼吸康复对改善肺功能无效。我们对左肺下叶进行了肺减容手术,结果通气功能和运动能力得到改善。该病例表明,慢性肺病患者的肺气肿改变可以通过手术成功治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd7e/12350186/f64f89cf1d6d/RCR2-13-e70303-g001.jpg

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